DR. ANDREW KYANH PHAN


Address: 6919 Se 82nd Ave Ste 103, Tlc Dentistry, Portland, OR 97266-5873
Phone: 5037743546

DR. ANDREW KYANH PHAN (NPI# 1467604454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467604454
Entity Type Individual
Full Name DR. ANDREW KYANH PHAN
Credential D.M.D.
Practice Address 6919 Se 82nd Ave Ste 103
Tlc Dentistry
Portland
OR 97266-5873
Practice Telephone 5037743546
Practice Fax Number 5037743547
Mailing Telephone 5037743546
Mailing Fax Number 5037743547
Enumeration Date 2008-10-21
Last Update Date 2012-06-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
38733 CA Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
D6465 OR Dental Providers

Other Providers ANDREW PHAN

NPI Name Taxonomy Address Enumeration
1720693054 Andrew Tj Phan Registered Nurse 7663 Ridgeline Dr, Dublin, CA 94568-5575 2020-09-14
1952810632 Andrew Phan Physician Assistant 12 Villanova, Irvine, CA 92606-8929 2017-09-25
1659705499 Andrew Phan Pharmacist 3400 Fait Ave, Baltimore, MD 21224-4309 2013-08-28
1467437863 Andrew Phan Internal Medicine 8210 Walnut Hill Ln., Ste. 230, Dallas, TX 75231 2005-12-08
1679102875 Andrew Phan Student in an Organized Health Care Education/Training Program 800 N Main St, Santa Ana, CA 92701-3576 2020-04-08
1174092563 Andrew Phan Physical Therapist 3206 Peach Orchard Rd, Augusta, GA 30906-3540 2018-11-15
1225521966 Andrew Phan Dentist 12168 Bellaire Blvd Ste 100, Houston, TX 77072-2642 2018-06-07
1669909156 Andrew Phan Student in an Organized Health Care Education/Training Program 2500 Metrohealth Dr, Cleveland, OH 44109 2017-05-16
1063646545 Andrew Phan Pediatrics 1650 Response Rd, Sacramento, CA 95815-4807 2009-05-12
1710164736 Andrew Chuong Phan Internal Medicine 2501 E Chapman Ave, Orange, CA 92869-3204 2008-01-22

Office Location

Street Address 6919 SE 82ND AVE STE 103
TLC DENTISTRY
City PORTLAND
State OR
Zip Code 97266-5873

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528545969 Willamette Pharmacy Pharmacy 10209 Se Division Build B Ste 100, Portland, OR 97266 2018-07-27
1992204697 Sober Living Oregon Treatment Center Clinic/Center 10209 Se Division, Portland, OR 97266 2018-02-08
1699204024 Malori Christine Butler Registered Nurse 7335 Se 85th Ave., Portland, OR 97266 2017-06-08
1487028882 Emil Kunkel Naturopath 6318 Se 87th Ave, Portland, OR 97266 2015-11-23
1194195313 Cory Hall-martin Counselor 10011 Se Division St #305, Portland, OR 97266 2015-09-30
1336517721 Krispin Mayfield Counselor 10011 Se Division St., Suite 203, Portland, OR 97266 2015-09-02
1407247927 Syrena Nicholson Community Health Worker 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 2015-02-06
1659777886 Berhanu Aynalem Mekbib Adult Companion 9125 Sw 55th, El Dorado, Portland, OR 97266 2014-11-17
1871930685 Felicitas Amelia Penaloza Behavioral Analyst 9911 Se Mt.scott Boulevard, Portland, OR 97266 2013-06-03
1710237326 Janna Renee Higgins Case Manager/Care Coordinator 9911 Se Mt. Scott Boulevard, Portland, OR 97266 2012-09-12
Find all providers in zip 97266

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760097034 Hannah Glazunov Dentist 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 2020-09-13
1093345159 Ashley Bennett Dds, LLC Dentist 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 2020-01-17
1841844354 Carly K Christoferson Dentist 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 2019-08-01
1083279384 Timber Dental Downtown LLC Dentist 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 2019-05-02
1780140715 Timber Dental East Burnside Dentist 1200 Se Sandy Blvd, Portland, OR 97214-1347 2019-02-14
1548726581 Timber Dental Bethany Dentist 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 2019-02-14
1124583208 Portland Dental LLC Dentist 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 2019-02-04
1245701465 Jeffrey Levitt Brady Dentist 10060 E Burnside St, Portland, OR 97216-2334 2018-12-16
1780166918 Daniel Alejandro Mesa Dentist 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 2018-09-04
1093293375 Trusha B Patel Dentist 3801 N Interstate Ave, Portland, OR 97227-1109 2018-07-30
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97266

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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